Unexplained Arm Pain: When to See an Orthopedic Specialist

Unexplained arm pain

Initially, there was unexplained pain in the arm.
There was no pain when pressure was applied.
However, pain occurred when moving the joint or lifting objects.
Now, even the blanket causes pain.
Which specialist should I consult?

Lingling, 30~39 year old female. Ask Date: 2004/09/14

Dr. Lin Yijun reply Orthopedics

When pressure is applied, there is no pain, which may indicate that it is not a localized tissue injury causing pain during exertion.
There are many potential reasons for this, including localized injuries, muscle fascia tension, or cervical disc herniation, all of which can lead to symptoms of nerve pain.
Since you haven't clearly described your symptoms, it is difficult to provide further explanation.
Please visit a nearby hospital for further examination.
You may consult with specialists in rehabilitation medicine, orthopedics, rheumatology, or neurology.
When seeking medical attention, please clearly describe your symptoms, including the location of the pain, whether there is any aching or numbness, the timing of the pain throughout the day, factors that increase or decrease the pain, and your daily activities.
After a direct examination, the physician may arrange for X-rays or other tests if necessary to determine the cause.

Reply Date: 2004/09/14

More Info

When experiencing unexplained arm pain, especially if it intensifies with movement or lifting, it is crucial to seek medical attention to determine the underlying cause. Given your symptoms, it would be advisable to consult an orthopedic specialist. Orthopedic doctors specialize in diagnosing and treating musculoskeletal issues, including those related to bones, joints, ligaments, tendons, and muscles.

Initially, the pain you describe may be indicative of several conditions, such as tendinitis, bursitis, or even a rotator cuff injury, particularly if the pain worsens with specific movements or activities. These conditions can arise from overuse, injury, or degenerative changes in the shoulder or elbow joints. The fact that you experience pain when lifting or using your arm suggests that there may be an issue with the muscles or tendons involved in these movements.

In addition to consulting an orthopedic specialist, it may also be beneficial to see a physical therapist. Physical therapy can help in managing pain through targeted exercises, stretching, and strengthening programs tailored to your specific condition. A physical therapist can also provide education on proper body mechanics to prevent further injury.

If your symptoms include numbness, tingling, or weakness in addition to pain, this could indicate nerve involvement, such as in cases of thoracic outlet syndrome or ulnar nerve entrapment. In such cases, an orthopedic specialist may recommend imaging studies, such as X-rays or MRI, to assess the structures in your arm and shoulder and to rule out any serious conditions.

It is also important to monitor any changes in your symptoms. If the pain becomes severe, or if you experience swelling, significant weakness, or loss of function, you should seek immediate medical attention. These could be signs of a more serious underlying condition that requires prompt intervention.

In summary, given your unexplained arm pain, it is advisable to see an orthopedic specialist for a comprehensive evaluation. They can provide a diagnosis and develop a treatment plan that may include medication, physical therapy, or other interventions based on the specific cause of your pain. Early intervention is key to preventing further complications and ensuring a better outcome.

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